DECLARATION CUM UNDERTAKING

(Company Accessories & Asset)

Mr. Sachin Jaiswal working at branches as a BM has been issued a company

Asset “Samsung Galaxy Tab S3” with the following specification: (Model:
Samsung Galaxy Tab S3 *SM-T825, IMEI*357963/08/022703/4) and,with
following accessories :( Charger-Model: EP.TA20WE, USB CONNECTOR,
MICRO USB CONNECTOR, EJECT PIN)

Signature: Date: Issuing Authority

The “Samsung Galaxy Tab S3” has been issued to the said individual with the
below mentioned understanding:
•The “Samsung Galaxy Tab S3” issued is for only official purpose
•The employee shall be fully accountable for theft, loss or damage of the property
•The “Samsung Galaxy Tab S3” requisition form has to be signed before taking
possession of the “Samsung Galaxy Tab S3”.
•Employee can mention necessary specifications needed for their job function
before taking handover from the Systems Admin Department
•Any additional software\hardware required by employee (before or after taking
handover)should be clearly communicated through mail to the Systems Admin
Department
•Management is at the sole discretion on approving such requests
•In case of any malfunction, employees are required to report the same to the
Systems Admin Department
•Employees may not take the “Samsung Galaxy Tab S3” for repair to any external
agency or vendor at any point of time
•The “Samsung Galaxy Tab S3” should be returned to the Systems Admin
Department in case of leaving the organization or if they do not intend to use it for
any reason.
•The employee shall be liable to replace or pay an equivalent amount to the
organization in case of theft, loss or damage to the property. The organization
retains the right to deduct the same from the salary in case of such an event.
I, SACHIN JAISWAL have read and understood the terms and conditions laid
By HR to abide by them.

Signature: Date: [Employee Name